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Use of a three-dimensional head-mounted digital visualization platform in cataract surgery

Eye (2023)Cite this article

Subjects

Abstract

Objective

To report preliminary experience using the BeyeonicsOne (Beyeonics Vision, Haifa, Israel) digital visualization platform and the utilization of its three-dimensional (3D) head-mounted display (HMD) in cataract surgery.

Methods

An interventional case series including patients who underwent cataract surgery using the 3D HMD platform at the Tel Aviv Medical Center. The system uses the HMD unit to display high-resolution real-time 3D surgical field images. Collected data included patient demographics, ocular comorbidities, risk factors for complex cataract surgery, cataract grading, preoperative and postoperative best-corrected visual acuity (BCVA), and intra- and postoperative complications.

Results

In total, 60 eyes of 60 subjects (mean age 73.1 ± 8.4 years) were included. Mean preoperative BCVA was 0.40 ± 0.30 logMAR (Snellen equivalent ~20/50) and improved to 0.10 ± 0.10 logMAR (Snellen equivalent ~20/25, p < 0.001). None of the patients suffered BCVA loss. All procedures and follow-ups were uneventful except for one case of a posterior capsular tear and one case of post-surgical cystoid macular edema.

Conclusion

The visualization platform and its embedded 3D head-mounted display can be easily used in routine cataract surgery with the added benefits of improved ergonomics, high picture quality and enhanced image control.

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Fig. 1: System Components.
Fig. 2: Ergonomic Consideration.

Data availability

All data generated or analyzed during this study are included in this published article.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Tel Aviv Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Nir Sorkin, Eliya Levinger, Asaf Achiron, Nir Gomel, Shai Cohen, Gilad Rabina, Shulamit Schwartz, Adiel Barak, Anat Loewenstein & David Varssano

Authors
  1. Nir Sorkin
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  2. Eliya Levinger
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  3. Asaf Achiron
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  4. Nir Gomel
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  6. Gilad Rabina
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  7. Shulamit Schwartz
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  8. Adiel Barak
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  9. Anat Loewenstein
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  10. David Varssano
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Contributions

NS was responsible for designing the work, acquiring and analyzing data, drafting the manuscript and revising the manuscript. EL was responsible for designing the work, acquiring data, and revising the manuscript. AA was responsible for acquiring data, analyzing data, and revising the manuscript. NG was responsible for acquiring data and revising the manuscript. SC was responsible for acquiring data and revising the manuscript. GR was responsible for interpreting data and revising the manuscript. SS was responsible for acquiring data and revising the manuscript. AB was responsible for designing the work, acquiring data, and revising the manuscript. AL was responsible for designing the work, interpreting data, and revising the manuscript. DV was responsible for designing the work, interpreting data, and revising the manuscript.

Corresponding author

Correspondence to Nir Sorkin.

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Competing interests

AB, NS and AL are consultants for Beyeonics Vision. NS received advisory board honoraria from Beyeonics Vision.

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Sorkin, N., Levinger, E., Achiron, A. et al. Use of a three-dimensional head-mounted digital visualization platform in cataract surgery. Eye (2023). https://doi.org/10.1038/s41433-023-02427-w

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